Organization
AFFINITY HEALTH GROUP LLC
Active
Other names
Affinity Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L JUSTICE (DIRECTOR OF OPERATIONS)
(318) 807-7875
Entity
Organization
Contact information
Practice address
920 OLIVER RD # A, MONROE, LA 71201-5702
(318) 361-2136
(318) 812-6338
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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